Medical Assistant needed in Claremore, Oklahoma!

Job description

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Chenega Government Mission Solutions, LLC, a Chenega Professional Services’ company, is looking for a Medical Assistant in support of Indian Health Services in Claremore, OK. The Medical Assistant will provide support and technical assistance to the department including medical, surgical, hospital and clinical services to all eligible beneficiaries in conjunction with or in lieu of IHS facilities. Verify patient eligibility in receiving routine medical referrals and/or emergency call-ins for treatment rendered by reviewing documentation in the patient registration regarding eligibility and alternate resources
Maintain and utilizes the Resource Patient Management System (RPMS), Electronic Health Record (EHR) and the Referred Care Information System (RCIS) in reviewing documentation.
Coordinate the management of the health care delivery system by providing contract medical vendors with CHS authorizations to determine an estimated cost of the services rendered, whether inpatient or outpatient services.
Coordinate and provide patient education regarding the PRC program and associated requirements for eligibility.
Interview and evaluate patients for possible eligibility of an alternate resource, ie. Medicare, Medicaid, Veteran's Administration, and other private insurance carriers.
Ensure patients are referred to the Patient Benefit Coordinator for further assistance.
Implement decisions made for the provision or denial of services.
Coordinate the denial and/or deferred services on all medical referrals and informs the healthcare provider of the status of each referral within the PRC program.
Prepare and distribute all authorizations, follow up letters on outstanding purchases, and denial and/or deferred letters to the patients and contract medical providers regarding services rendered.
Interpret medical bills and explanation of benefits received from patients and medical providers.

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